Individual
JACQUELINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA/COBA
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(567) 290-6543
Mailing address
2222 CHERRY ST, TOLEDO, OH 43608-2673
(419) 251-3878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.00572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391471
—
OH
Enumeration date
01/12/2017
Last updated
04/21/2026
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